Mixed-methods cross-sectional study of the prevention of vertical HIV transmission program users unaware of male partner’s HIV status, in six South African districts with a high antenatal HIV burden

BMC Public Health

Research

Deborah L. Jones¹  Violeta J. Rodriguez²  Vuyolwethu Magasana³  Nobubelo K. Ngandu³  Duduzile F. Nsibande³  Mbongeleni Buthelezi³  Reshmi Dassaye³  Tshiamo M. Mmotsa³  Ameena E. Goga⁴ 

[1] Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA;Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA;Department of Psychology (Clinical/Community Division), University of Illinois at Urbana-Champaign, Champaign, IL, United States of America;HIV and other Infectious Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa;HIV and other Infectious Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa;Department of Paediatrics and Child Health, University of Pretoria, Pretoria, South Africa;

关键词: HIV disclosure;    Mother-to-child-transmission of HIV;    Pregnant;    Postpartum;    Male partner;   

DOI  :  10.1186/s12889-023-16921-z

 received in 2022-11-08, accepted in 2023-10-06,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundElimination of vertical HIV Transmission (VHT) and maternal deaths are global health priorities. Male involvement is one of the most important factors that influences women’s decisions, including the uptake of Prevention of vertical HIV transmission (P-VHT). We sought to understand not knowing a male partner’s HIV status (MPHIVs) amongst women using services to prevent vertical HIV transmission in six South African districts with high antenatal HIV burden.MethodsA mixed-methods cross-sectional study was conducted in six South African districts, and data collected through face-to-face interviews with women and focus group discussions (FGDs) with women or male partners. The quantitative data were analyzed using STATA SE-17.0 and an inductive approach was used for qualitative data analysis.ResultsOverall, 28.7% of women were unaware of their MPHIVs, while 25.3% and 46.0% knew the MPHIVs was positive or negative, respectively. In multivariable logistic regression, single marital status and unplanned pregnancy increased the odds of not knowing a MPHIVs while a woman’s disclosure of her HIV status to the male partner reduced the odds. FDGs highlighted complexities around MPHIVs disclosure, e.g., reluctance to test for HIV and potential interventions including healthcare worker (HCW) assisted HIV disclosure.ConclusionUser-informed interventions to address MPHIVs non-disclosure amongst women of child-bearing age, particularly those at risk of unstable sexual partners and unplanned pregnancies, should be strengthened.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 6